COST EFFECTIVE PAVEMENTS TODAY FOR A GREENER TOMORROW
REGISTRATION FORM
Personal Data
Name1:
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FEES 1
PARTICIPANT REGISTRATION:
(includes 2 coffee breaks, two lunches and 1 reception.)
IRF/RAF members – 550* Euros / participant
Non--members – 650* Euros/ participant
Non
2 or more participants per company – 650* Euros / participant
Students – 250* Euros / participant
EXHIBITOR BOOTH REGISTRATION – 3.1
3.100* EUROS
(includes registration for 2 participants and 3m x 2m space)
* plus tax - IVA (23%)
Payment Method 1
Wire transfer to:
CONSULPAV Consultores e Projectistas de Pavimentos, Lda
IBAN: PT50 0010 0000 2410355 0001 49
BPI Bank
SWIFT/BIC: BBPIPTL
(please send a copy of the payment receipt with this form)
Check to:
RUBBERIZED ASPHALT FOUNDATION
8609 E. Hubbell St., Scottsdale, AZ 8527 Tel: 480-990-9451,
Chairman: George Way
[email protected]
Check number:
✔
Donate:
Value:
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Bank:
Please print donation proof and send with this form
Contacts
PLEASE SEND THE FILLED FORM AND PROOF OF PAYMENT TO:
Rossana Sousa e-mail: [email protected]
tm: +351 919 737 982
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